Hallie Marie Hudson, PHARMD
Individual provider Active NPI Pharmacist · Transfer, PA
NPI 1780210328 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1780210328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP449847 (PA)
- Practice address
- 3676 N Hermitage Rd
Transfer, PA 16154-1852 - Phone
- (724) 646-1131
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0022470 | CO | MD | Pharmacist |
| 03439281 | OH | MD | Pharmacist |
| RP449847 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLW & BCW Enterprises, Inc | Past | Accepting new patients | |
| Greblaw Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03439281 | OH | |
| Pharmacist | 183500000X | PHA.0022470 | CO | |
| Pharmacist | 183500000X | RP449847 | PA | Yes |
Addresses
Primary practice location
3676 N Hermitage Rd
Transfer, PA 16154-1852
Mailing address
PO Box 395
Jamestown, PA 16134-0395
Phone (724) 932-5355
Other practice location 1
43 Williamson Rd Ste 1
Greenville, PA 16125-1224
Phone (724) 588-1111
Other practice location 2
121 Liberty St
Jamestown, PA 16134-9117
Phone (724) 932-5355 ext. 112
Other providers in Transfer, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.